Uma uhamba, ikakhulukazi ugqoke izicathulo eziqinile, uzizwa ungakhululekile futhi ubuhlungu ezinyaweni zakho, njengokungathi unyathela itshe noma iqhubu elincane? Ingabe ngezinye izikhathi uzizwa umuzwa ongavamile njengokungathi isokisi lichotshoziwe endaweni eyodwa? Uma lobu buhlungu buqhubeka buba bubi kakhulu, futhi uma izinzwane zakho zizwa zibuhlungu kancane, ungase ube nesifo esibizwa ngokuthi 'i-Morton's Neuroma'. Ungesabi igama. Akulona iqiniso kangako. Ake sixoxe ngakho konke kalula nangokucacile.
Iyini i-Morton's Neuroma?
Kalula nje, lokhu ukuvuvukala noma ukuqina kwemizwa egijima phakathi kwezinzwane zakho. Imizwa ye-interdigital igijima phakathi kwamathambo ezinyawo zethu e-metatarsal. Lapho le mizwa icindezelwa njalo, ukulimala, noma uhlobo oluthile lokucindezelwa, izicubu zemizwa ziqala ukuqina nokuvuvukala.
Cabanga ngakho njengepayipi lamanzi elinyathelwa ngokuphindaphindiwe, okubangela ukuba lithambe futhi livuvuke. Lesi simo sivame ukwenzeka emthanjeni ophakathi kwezinzwane zakho zesithathu nezesine (izinzwane ezimbili eziseduze nozwane lwakho oluncane).
Into ebalulekile ukuthi, naphezu kwegama elithi "neuroma," lesi akusona isimila somdlavuza . Ngakho-ke asikho isidingo sokukhathazeka ngaso nhlobo. Okwenzekayo lapha akusikho ukukhula kwezicubu ezintsha, kodwa inzwa ekhona iyacindezelwa futhi ivuvukala.
Lo mthambo ovuvukele ungabangela ubuhlungu obukhulu uma ume noma uhamba, okuwucindezela.
Ziyini izimpawu zalesi simo?
Izimpawu ze-Morton's Neuroma zivame ukukhula kancane kancane ngokuhamba kwesikhathi. Ekuqaleni, kungase kube nobuhlungu obuncane, obungase buphele ngokukhumula izicathulo zakho nokuhlikihla unyawo lwakho. Kodwa-ke, njengoba inzwa ivuvukala kakhulu, izimpawu ziya zibonakala kakhulu.
Ake sibheke izimpawu eziyinhloko ezinjengalezi.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ubuhlungu ezinyaweni | Ubuhlungu obubukhali, obushisayo ematheni onyawo phakathi kwezinzwane lapho umi noma uhamba. Kuzwakala sengathi into efana netshe noma imabula inyathelwa ngaphakathi kwesicathulo. |
| Ubuhlungu buyanda ngenxa yezicathulo | Ubuhlungu bubuhlungu kakhulu uma ugqoke izithende eziphakeme noma izicathulo ezincane ezicindezela izinzwane. Ubuhlungu buyaphela kancane ngemva kokukhumula izicathulo. |
| Ukuba ndikindiki nokulahlekelwa umuzwa | Kungase kube nomuzwa wokucasuka (izikhonkwane nezinaliti) eminweni ethintekile noma ngezinye izikhathi kube nokungezwani kuleyo ndawo. |
| Ukuvuvukala | Ngisho noma kungekho ukuvuvukala okubonakalayo okubonakalayo ngaphandle phakathi kwezinzwane, ungase uzizwe ungakhululekile ngenxa yokuvuvukala kwemizwa ngaphakathi. |
Kungani kwenzeka into efana nale? Yiziphi izizathu?
Njengoba sishilo ngaphambili, imbangela eyinhloko yalokhu ukucindezeleka okuqhubekayo noma ukucindezeleka kwemizwa phakathi kwezinzwane zakho. Kunezici eziningana ezandisa le ngozi.
1. Izicathulo ezingafaneleki
Lesi yisona sizathu esiyinhloko nesivame kakhulu .
- Izithende eziphakeme: Uma ugqoka izithende eziphakeme, isisindo somzimba wakho wonke siqondiswa ngaphambili konyawo lwakho, okubeka ingcindezi enkulu ezinzwa.
- Izicathulo ezincane neziqinile: Uma ugqoka izicathulo eziqinile nezisondelene, amathambo aphakathi kwezinzwane ayacindezelwa ndawonye, okucindezela imizwa edlula kuzo.
2. Eminye imidlalo nemisebenzi
Lesi simo singabangelwa futhi yimisebenzi ebeka ingcindezi eqhubekayo kanye nokulimala ematheni onyawo.
- Ukugijima: Izithende zezinyawo, ikakhulukazi labo abagijima amabanga amade, zihlala zibhekene nokushaqeka.
- Imidlalo efana ne-tennis ne-badminton: Kulezi zinhlobo zemidlalo, uvame ukufaka ingcindezi phansi ngengxenye engaphambili yonyawo lwakho.
- Ukudansa: Ukudansa , ikakhulukazi i-ballet, kubeka ingcindezi enkulu ezithendeni zezinyawo.
3. Ezinye izinkinga zokuma kwezinyawo
Uma kukhona izinkinga ngesimo noma isikhundla sonyawo lwakho, lokhu kungandisa nokucindezeleka kwemizwa.
- Izinyawo ezisicaba: Uma unyawo lungekho futhi iphansi lisicaba, indlela ohamba ngayo ingashintsha futhi ingcindezi ingafakwa ezinzwa.
- Izinyawo eziphakeme: Lokhu kungabangela nokungazinzi onyaweni futhi kwandise ingcindezi.
- Ama-Bunion: Lesi simo sibangela ukuvuvukala kwejoyinti elikhulu lezinzwane, okungabangela ukuthi izinzwane zinamathele ndawonye.
- Izinzwane ze-Hammer: Isimo lapho izinzwane zigoba khona phakathi. Lokhu kubangela nokungalingani kwengcindezi.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho. Uzokubuza izinto eziningi, njengokuthi ubuhlungu sebunesikhathi esingakanani bukhona, ukuthi buba bubi kangakanani, ukuthi hlobo luni lwezicathulo okungakhululeki ukuzigqoka, nokuthi kukhona yini ukungakhululeki.
Ngemuva kwalokho, udokotela uzohlola unyawo lwakho ngokucophelela. Uzocindezela phansi konyawo lwakho nendawo ephakathi kwezinzwane zakho, ehlola noma yibuphi ubuhlungu obuthile noma umuzwa "wokuchofoza". Lokhu kuhlolwa ngokomzimba kuvame ukuhlonza isimo.
Ukuhlolwa okungadingeka
- I-X-ray: I-X-ray ayikwazi ukukhombisa ukuvuvukala kwenzwa. Kodwa-ke, i-X-ray ingayalwa ukuze kukhishwe ezinye izimbangela zobuhlungu bezinyawo, njengokuphuka kokucindezeleka noma isifo samathambo.
- I-Ultrasound: Lokhu kuskena kungabheka izicubu ezithambile, njengemizwa. Kungabonisa ngokusobala imizwa evuvukile nejiyile.
- Ukuskena kwe-MRI: Kwezinye izimo, uma ukuxilongwa kungacacile, ukuskena kwe-MRI kunganikeza isithombe esicacile.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi abantu abaningi abadingi ukuya ohlinzweni. Lobuhlungu bungaphathwa ngokwelashwa okulula kanye nokushintsha indlela yokuphila. Umgomo oyinhloko wokwelashwa ukunciphisa ingcindezi emsipheni nokulawula ukuvuvukala.
Ukwelashwa okungekona ukuhlinzwa
1. Ukushintsha izicathulo: Lesi yisinyathelo esibaluleke kakhulu nesokuqala .
- Gqoka izicathulo ezinebhokisi elikhulu lezinzwane.
- Yeka ukugqoka izithende eziphakeme ngokuphelele noma uzibeke eceleni emicimbini ekhethekile.
- Uma ukhetha izicathulo, khetha izicathulo ezine-cushion enhle ngaphakathi futhi ezikhululekile ezinyaweni.
2. Ama-pads ezicathulo kanye nama-orthotics:
- Kukhona ama-pads akhethekile (ama-metatarsal pads) angandisa kancane isikhala phakathi kwamathambo onyawo futhi anciphise ingcindezi emthanjeni.
- Ngezinye izikhathi udokotela wakho angancoma ama-orthotics enziwe ngokwezifiso, aklanyelwe ngokukhethekile ukulingana nonyawo lwakho. Lawa anikeza ukwesekwa okuhle futhi asabalalisa ingcindezi ngokulinganayo.
3. Izibulali-zinhlungu:
- Ukuze unciphise ubuhlungu nokuvuvukala, ungathatha imithi efana ne-paracetamol noma ama-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal) isikhathi esifushane, njengoba kuyalelwe udokotela wakho. Kodwa-ke, ungayithathi le mithi ngokuqhubekayo izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho .
4. Ukubekwa kweqhwa:
- Uma kukhona ubuhlungu nokuvuvukala, ukufaka iqhwa endaweni imizuzu eyi-15-20 kunganikeza impumuzo enhle. Ungalifaki iqhwa ngqo esikhumbeni, ligoqe ngendwangu encane.
5. Imijovo ye-Cortisone:
- Uma izinyathelo ezingenhla zingabuqedi ubuhlungu, udokotela wakho angase anqume ukumnika umjovo we-corticosteroid endaweni efanayo ukuze anciphise ngokushesha ukuvuvukala nobuhlungu.
Ukuhlinzwa
Udokotela uzocabangela ukuhlinzwa kuphela uma ubuhlungu bungakapheli naphezu kwazo zonke ezinye izindlela zokwelapha futhi uma ubuhlungu bukhulu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke.
- Ukuhlinzwa Kwezinzwa: Lokhu kuhilela ukusika nokususa ingxenye yenzwa eyonakele noma evuvukele. Lena inqubo yokuhlinzwa evame kakhulu.
- Ezinye izindlela: Ngezinye izikhathi kunezindlela zokwelapha zesimanje ezisebenzisa umkhuhlane omkhulu (i-cryogenic neuroablation) noma amagagasi kagesi (i-radiofrequency ablation) ukuvimba inzwa ukuthi ingathumeli izimpawu zobuhlungu.
Yisiphi isikhathi esingcono kakhulu sokubona udokotela?
Njenganoma yikuphi ukugula, kubalulekile ukuqala ukwelashwa kusenesikhathi, njengoba uma kungalashwa, kungabangela ukulimala kwemizwa okungapheli kanye nobuhlungu obungapheli.
Uma ubuhlungu bezinyawo zakho bungathuthuki phakathi namasonto amabili ngemithi elula yasekhaya (isib. ukushintsha izicathulo, ukuphumula), uma ubuhlungu buba bubi kakhulu, uma kwenza kube nzima ukwenza imisebenzi yansuku zonke, noma uma uzwa ubuhlungu, bona udokotela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Morton's Neuroma ukuvuvukala noma ukuqina kwemizwa ephakathi kwezinzwane. Akuyona umdlavuza.
- Uphawu oluyinhloko ubuhlungu obuhlabayo obuzwakala sengathi unyathela itshe noma imabula ngaphansi kwephansi lonyawo lapho uhamba.
- Isizathu esiyinhloko salokhu ukugqoka izicathulo ezinezithende eziphakeme, eziqinile, nezincane isikhathi eside.
- Ngokuvamile, lesi simo singalapheka ngokuphelele ngokukhetha izicathulo ezifanele, ukuphumula, kanye nokwelashwa okulula okuvela kudokotela.
- Uma unezinhlungu ezingapheli ezinyaweni, ungakuzibi futhi ufune iseluleko sezokwelapha. Izinyawo zakho zikuyisa yonke indawo, ngakho-ke kubalulekile ukuzinakekela kahle.
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